34D0855840 CLIA NUMBER - SUZANNE K HENTZ MD

Laboratory Demographics

  • CLIA Code: 34D0855840
  • Facility Name: SUZANNE K HENTZ MD
  • Facility Address: 4815 OLEANDER DRIVE SUITE 202
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 452-1133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUZANNE K. HENTZ
  • NPI Number: 1407892359
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D0855840
LAB Type Physician Office
Facility Name SUZANNE K HENTZ MD
Street 4815 OLEANDER DRIVE SUITE 202
City WILMINGTON
State NC
ZIP 28403
Phone 910 452-1133
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SUZANNE K. HENTZ

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This page was last updated on: 9/29/2025